CAJ | 학술논문

目的：探讨分水岭脑梗死患者在内科治疗基础上联合介入干预处理的临床效果。方法回顾性分析我院2006年1月～2014年1月收治的50例分水岭脑梗死患者的临床资料，根据血管评估结果及治疗方案的不同分为介入治疗组与药物治疗组。介入治疗组26例，药物治疗组24例。介入治疗组患者在内科常规治疗基础上联合应用介入处理方案，药物治疗组患者采用常规治疗方案，包括提高颅内灌注，增加侧支循环、抗血小板、神经保护、改善微循环等，采用NIHSS量表评定神经功能，采用简明精神状态检查量表（MMSE）评估精神状态，采用神经功能缺损评分量表（SSS）评估神经功能缺损情况，并进行组间比较。结果介入治疗组患者其神经功能、精神状态、神经功能缺损情况均明显优于药物治疗组，差异具有统计学意义（P＜0.05）。结论对于分水岭脑梗死的患者，在符合条件的基础上，积极行介入干预治疗，解除病因，能够取得较为满意的临床效果，明显改善患者的肢体运动功能、精神状态、神经功能缺损情况，值得在临床上推广使用。
목적：탐토분수령뇌경사환자재내과치료기출상연합개입간예처리적림상효과。방법회고성분석아원2006년1월～2014년1월수치적50례분수령뇌경사환자적림상자료，근거혈관평고결과급치료방안적불동분위개입치료조여약물치료조。개입치료조26례，약물치료조24례。개입치료조환자재내과상규치료기출상연합응용개입처리방안，약물치료조환자채용상규치료방안，포괄제고로내관주，증가측지순배、항혈소판、신경보호、개선미순배등，채용NIHSS량표평정신경공능，채용간명정신상태검사량표（MMSE）평고정신상태，채용신경공능결손평분량표（SSS）평고신경공능결손정황，병진행조간비교。결과개입치료조환자기신경공능、정신상태、신경공능결손정황균명현우우약물치료조，차이구유통계학의의（P＜0.05）。결론대우분수령뇌경사적환자，재부합조건적기출상，적겁행개입간예치료，해제병인，능구취득교위만의적림상효과，명현개선환자적지체운동공능、정신상태、신경공능결손정황，치득재림상상추엄사용。
Objective To explore the clinical efficacy of interventional therapy on the basis of medical treatment in the treatment of cerebral watershed. Methods 50 clinical data of cerebral watershed in our hospital from January 2006 to January 2014 were yetrospectively analyzed, they were divided into interventional therapy group and the medical therapy group according to vascular assessment results and different treatments. Interventional therapy group had 26 cases and the medical therapy group had 24 cases. The patients in the interventional therapy group were given interventional therapy on the basis of medical treatment. The medical therapy group was given conventional treatment, included increasing cerebral perfusion, increasing collateral circulation, anti-platelet, neuroprotection, improving microcirculation and so on used NIHSS scale to assess Neurological assessment, used the Mini-Mental State Examination (MMSE) to assess the mental state, uses neurological deficit Rating Scale(SSS)to assess neurological deficit situation, and they were compared between groups. Results Neurological function, mental status, neurological deficit situation of the interventional therapy group were all significantly better than medical therapy group, there had statistical significance(P < 0.05). Conclusion For patients with cerebral infarction watershed, in compliance with the conditions, actively do interventional therapy, relieve the cause, it can achieve satisfactory clinical results, it can significantly improve the patient's limb movement function, mental status, neurological deficit situation and it is worthy for clinical.